GENTIVA CERTIFIED HEALTHCARE CORP. (NPI# 1538198817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538198817 |
| Entity Type | Organization |
| Organization Name | GENTIVA CERTIFIED HEALTHCARE CORP. |
| Other Organization Name | KINDRED AT HOME |
| Practice Address |
728 134th St Sw Ste 203 Everett WA 98204-5322 |
| Mailing Address |
12900 Foster St Ste 400 Overland Park KS 66213-2704 |
| Practice Telephone | 4257454345 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2016-06-27 |
| Authorized Official Name | RUTH SCHWARTZ (ASSISTANT SECRETARY) |
| Authorized Official Telephone | 9138142288 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA-COMMERCIAL NUMBER | 2223178 | 01 | |
| WA-BLUE SHIELD | 3865GE | 01 | |
| WA-COMMERCIAL NUMBER | 7271048 | 01 | |
| WA | 9041112 | 05 | |
| WA | 3865GE | 05 | |
| WA-BLUE SHIELD | 5340GE | 01 | |
| WA-COMMERCIAL NUMBER | ANC015 | 01 | |
| WA-COMMERCIAL NUMBER | 135182 | 01 | |
| WA | 9041575 | 05 | |
| WA-COMMERCIAL NUMBER | 113414024 | 01 | |
| WA-BLUE CROSS | 1173 | 01 | |
| WA-COMMERCIAL NUMBER | 300066153 | 01 | |
| WA | 9041138 | 05 | |
| WA-COMMERCIAL NUMBER | 321563001 | 01 | |
| WA-COMMERCIAL NUMBER | 1021032 | 01 | |
| WA | 9019159 | 05 |
| Other Name | Type Code |
|---|---|
| Kindred at Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922387976 | Gentiva Certified Healthcare Corp. | Nursing Care | 105 Citation Drive, Suite B, Danville, KY 40422-8633 | 2011-08-09 |
| 1487987335 | Gentiva Certified Healthcare Corp. | Home Health | 505 S Main St Ste 132, Las Cruces, NM 88001-1206 | 2009-09-10 |
| 1952537714 | Gentiva Certified Healthcare Corp. | Home Health | 2600 Old North Hills St, Meridian, MS 39305-1600 | 2009-06-08 |
| 1457587404 | Gentiva Certified Healthcare Corp. | Home Health | 114 N Academy Ave, Butler, AL 36904-2206 | 2009-06-04 |
| 1285899526 | Gentiva Certified Healthcare Corp. | Home Health | 4975 Lacross Rd, Suite 354, North Charleston, SC 29406-6531 | 2008-07-25 |
| 1578626321 | Gentiva Certified Healthcare Corp. | Home Health | 2000 Frontis Plaza Blvd Ste 302, Winston Salem, NC 27103-5616 | 2006-12-19 |
| 1093738072 | Gentiva Certified Healthcare Corp. | Home Health | 3150 N Elm Street, Suite 102, Greensboro, NC 27408-3881 | 2006-07-25 |
| 1437175338 | Gentiva Certified Healthcare Corp. | Home Health | 9009 Perimeter Woods Drive, Suite C, Charlotte, NC 28216-0040 | 2006-07-14 |
| 1023042264 | Gentiva Certified Healthcare Corp. | Home Health | 1250 N 9th St, Suite 105, Stroudsburg, PA 18360-7800 | 2006-07-11 |
| 1982638771 | Gentiva Certified Healthcare Corp. | Home Health | 175 Exchange St, Suite 100, Bangor, ME 04401-6537 | 2006-07-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | GENTIVA CERTIFIED HEALTHCARE CORP. | 3350 Riverwood Pkwy Ste 1400, Atlanta, Georgia 30339 |
| Colorado Business Entities | GENTIVA CERTIFIED HEALTHCARE CORP. | 680 South Fourth Street, Louisville, KY 40202 |
| Massachusetts Corporations | GENTIVA CERTIFIED HEALTHCARE CORP. | 680 South Fourth Street, Louisville, KY 40202 |
| Oregon Corporations, Companies and Business Names | GENTIVA CERTIFIED HEALTHCARE CORP. | 3350 Riverwood Parkway Suite 1400, Atlanta, GA 30339 |
| Iowa Business Entities | GENTIVA CERTIFIED HEALTHCARE CORP. | 3350 Riverwood Parkway, Suite 1400, Atlanta, GA 30339 |
| Street Address |
728 134TH ST SW STE 203 |
| City | EVERETT |
| State | WA |
| Zip Code | 98204-5322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588262869 | Samuel Lin, Nd, Pllc | Naturopath | 13410 Hwy 99, Ste 202, Everett, WA 98204 | 2020-10-09 |
| 1003458225 | Svetlana A Gayevskaya | Technician | 12605 E. Gibson Rd. Unit # 87, Everett, WA 98204 | 2019-10-09 |
| 1821555921 | Kymberly Ann Shepherd | Counselor | 1011 128th St Sw, E201, Everett, WA 98204 | 2019-02-25 |
| 1609392653 | Mohammed Bayo | Nurse's Aide | 9217 4th Ave. West, Everett, WA 98204 | 2017-08-21 |
| 1962951582 | Abreham Shoangizaw | Pharmacist | 802 134th S B C, Everett, WA 98204 | 2016-09-23 |
| 1588012694 | Tammy J Laird | Counselor | 9300 Evergreen Way, Everett, WA 98204 | 2016-05-31 |
| 1083011282 | Bernadette K Stanek | Massage Therapist | 13410 Washington 99 #204, Everett, WA 98204 | 2014-12-03 |
| 1356771067 | Dixon Stopper | Hearing Instrument Specialist | 12811 8th Ave W Ste B203, Everett, WA 98204 | 2013-11-15 |
| 1427312495 | Dan Huy Nguyen | Respiratory Therapist, Registered | 1919 112th Street Southwest, Everett, WA 98204 | 2012-06-25 |
| 1942571880 | Alena A Klimenko | Specialist | 12811 8th- Ave W, Suite B-103, Everett, WA 98204 | 2012-01-24 |
| Find all providers in zip 98204 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518482215 | Glacier Peak Healthcare, Inc. | Home Health | 10530 19th Ave Se Ste 201, Everett, WA 98208 | 2017-08-03 |
| 1346778388 | May's Home Care LLC | Home Health | 6 Victoria St Ste Ll107, Everett, MA 02149-3512 | 2017-06-02 |
| 1811445836 | Hope Homecare LLC | Home Health | 10421 Meridian Ave S, #b, Everett, WA 98208-3955 | 2016-09-19 |
| 1457793754 | Catherine Dambrosio Phd Rn & | Home Health | 1706 Broadway, Everett, WA 98201-2347 | 2013-07-27 |
| 1629321351 | Springcare Services Inc | Home Health | 17 Gledhill Ave, Everett, MA 02149-4045 | 2012-10-18 |
| 1093812166 | Providence Hospice and Home Care of Snohomish County | Home Health | 2731 Wetmore Ave, Suite 520, Everett, WA 98201-3571 | 2006-09-20 |
| 1689690034 | Alpha Nursing and Services Incorporated | Home Health | 10530 19th Ave Se, Ste 201, Everett, WA 98208-4282 | 2006-07-15 |
| 1679071716 | Jordan Carter Hanson | Home Health | 4526 Federal Ave, Everett, WA 98203-2132 | 2018-01-23 |
| 1427492255 | Breanna Copeland | Home Health | 11421 31st Dr Se, Everett, WA 98208-5273 | 2013-04-23 |
| 1710230438 | Best Healthcare Services Inc | Home Health | 459 Broadway, Suite 306, Everett, MA 02149-3614 | 2012-10-18 |
| Find all providers in EVERETT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.